See Our Variety of Compression Stockings

click here to watch our compression stocking video

Compression therapy is available in many styles and colors for both men and women. We have put together this video to show you a few of our many options for compression stockings.  It is important to incorporate compression stockings into your lifestyle for optimal leg health.  We believe in choices, and it is important to us to make available to you compression stockings that compliment your lifestyle.  As a result, we offer the most comprehensive selection of compression stockings in the region- all at 10% less than retail cost, exclusively to our patients.

Dr. Bunke-Paquette and Dr. Fronek featured in San Diego Magazine

San Diego Magazine’s Top Doctors issue for October featured Dr.’s Bunke-Paquette and Dr. Helane Fronek. In the article, Dr. Bunke describes new therapies to treat venous disorders. ‘“New technology has eliminated the need for traditional vein stripping surgery. Using ultrasound scanning and other advanced procedures, we are able to provide precision treatments that are safe, painless, and effective—all without surgery,” said Dr. Bunke-Paquette.

What Is the Correlation Between Restless Legs Syndrome and Venous Insufficiency?

Patients with varicose veins often report a feeling of restless legs, especially at night when in bed. In our study, about 30% of patients with varicose veins complained of restless legs. Restless legs syndrome (RLS) is a sensorimotor movement disorder characterized by uncomfortable sensations in the legs and an urge to move them. There are other causes of restless legs syndrome such as, neurological disorders, anemia, and kidney disease to name a few and is often treated with medication. Venous insufficiency is often neglected as a cause of Restless Legs Syndrome. However, when recognized, it is easily treatable leading to resolution of symptoms.
Treatment is aimed at correcting the underlying venous insufficiency. This usually is accomplished by removing the varicose veins or incompetent veins by new, minimally invasive, non-surgical methods. In our study, 98% of the patients with venous insufficiency and restless legs, had resolution of symptoms following treatment.
In another study, by Hayes, CL et. al, 35 patients with RLS and superficial venous insufficiency underwent endovenous ablation of refluxing superficial veins and ultrasound-guided sclerotherapy of varicose veins. 89% of patients reported alleviation of symptoms.
If a patient has restless legs symptoms and evidence of varicose veins of the legs, a work-up for venous insufficiency should be considered. The work-up involves a duplex ultrasound evaluation of the leg veins. This may eliminate the need for medication for RLS.

Is Multiple Sclerosis Caused by Venous Insufficiency?

Multiple Sclerosis, also known as MS is an autoimmune disease that affects the brain and spinal cord. It affects women more than men and is most commonly diagnosed between ages 20 and 40, but can be seen at any age.
MS is caused by damage to the myelin sheath, the protective covering that surrounds nerve cells. When this nerve covering is damaged, nerve impulses are slowed down or stopped.
Researchers are not sure what triggers the inflammation. The most common theories point to a virus or genetic defect, or a combination of both. Recently, however, venous insufficiency has been implicated as a cause of MS.
Venous insufficiency refers to the backflow of blood within veins due to faulty valves. In people with varicose veins, the leg veins are affected. But, in patients with MS, the cerebral veins may be insufficient. Impaired venous drainage from the central nervous system is termed chronic cerebrospinal venous insufficiency. There are some studies that implicate chronic venous insufficiency of the cerebral veins as a cause for MS. But, there have been recent studies which refute this. At this point, it is an area of investigation, but further studies are required.